CVS Health

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Case Manager III Territory

at CVS Health

Job Description

Title
Case Manager III Territory

No. of Positions
1

Position Summary
RxCrossroads Specialty Solutions   

RxCrossroads Specialty Solutions, a division of Omnicare Inc., is a wholly owned subsidiary of the CVSHealth Corporation, whom provides tailored services to the biotechnology and pharmaceutical industries. Its partner programs are customized to meet the unique needs of each individual brand through an integrated model that provides comprehensive patient services and enhances product access, affordability, and adherence. RxCrossroads is also the leading provider of logistics services for plasma and other complicated therapies as well as managing large levels of consigned pharmaceutical inventory used in its patient-specific free drug distribution pharmacy distribution program. For more information, visit rxcrossroads.com .

Position Summary   

To drive paid therapy outcomes for patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs with reimbursement and billing challenges.  

*Coordinate care for patients using the program

*Conduct Benefit Investigations as necessary
*Communicate with key medical practice accounts, sales representatives regarding the status of cases. Provide consultative services where issues arise on how obstacles can be overcome in order to get patient on paid therapy
*Communicate with internal partners to ensure case coordination

*Updates prescribes and sales representatives on the case statuses

*Coordinates and schedules weekly conference calls with sales representatives to review status of cases

*Acts as a partner with pharmaceutical sale representatives in supporting prescriber offices and patients in moving cases to paid therapy


This posting is for the 11:30-8 pm shift.


Req ID
632068BR

Sourcing Requisition
Yes

State
KY

Business Area
CVS Health

Location - State/City
KY - Louisville

Job Category
Call Center, Customer Service, RxCrossroads

City
Louisville

Preferred Qualifications
*Knowledge of Medical Terminology preferred 
*Working knowledge of drug reimbursement issues 
*Knowledge of HCPCS, CPT and ICD-9 coding 
*Ability to negotiate favorable outcomes with payor and prescribers in obtaining needed information and decisions 
*Ability to express ideas clearly in both written and oral communications 
*Strong attention to detail and ability to multi-task  
*Strong computer skills required; preferably Microsoft Word or Excel software applications   
*Data entry skills required 
*Ability to resolve problems independently
*Ability to calculate figures and amounts such as discounts and percentages; necessary to provide correct benefit and co-pay information
*Ability to follow instructions 
*Adaptable to changing priorities as needed
*Have exceptional attention to detail and excellent analytical, investigation, and problem solving skills 
*Ability to manage multiple priorities concurrently
*Responsible for case management for top key account
*Responsible for meeting quality and turn-around-time objectives 

Job Type (Expected Hours Category)
Full Time

Street Address
1901 Eastpoint Parkway

Location code
OF674

Requisition Template
Professional

Education
High School Diploma or Equivalent

FLSA
Non Exempt

Clinical Licensure Required
N/A

Zip Code
40223

Required Qualifications
High School Diploma or Equivalent

This position may require registration with the Kentucky Board of Pharmacy. If required, candidates must provide proof of registration prior to being hired.


Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units - MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster:

EEO IS THE LAW
and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking

AA EEO CVS Health

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

Application Instructions

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